# Hypoplastic Celiac Trunk With Aberrant Hepatic and Splenic Arteries: A Case Report

## TL;DR

A 24-year-old man had a rare vascular anomaly involving the celiac trunk and its branches, diagnosed via CT and managed conservatively.

## Contribution

Reports a rare case of hypoplastic celiac trunk with aberrant hepatic and splenic arteries from the SMA.

## Key findings

- Contrast-enhanced CT showed a hypoplastic celiac trunk and aberrant arteries from the SMA.
- The patient had mesenteric inflammation and dilated intestines, likely due to altered blood flow.
- Conservative management was effective, emphasizing the need for accurate imaging in atypical cases.

## Abstract

Vascular anomalies of the celiac trunk and its branches are rare but carry significant diagnostic and surgical implications. We report a case of a 24-year-old male presenting with acute abdominal pain and vomiting. Contrast-enhanced CT revealed a hypoplastic celiac trunk with aberrant hepatic and splenic arteries arising from the superior mesenteric artery (SMA), a configuration distinct from the more commonly described replaced right hepatic artery. Associated findings included dilated duodenum and jejunum with wall thickening and mesenteric inflammation, likely reflecting altered mesenteric hemodynamics. The patient was managed conservatively for an acute abdomen with suspected transient vascular congestion. This rare vascular variant highlights the importance of CT angiography in identifying atypical anatomy, which is crucial for preventing misdiagnosis and guiding safe surgical or interventional procedures.